Individual
EILEEN NITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1345 BIRCH AVENUE, COTTAGE GROVE, OR 97424
(541) 942-3939
Mailing address
P.O. BOX 5, COTTAGE GROVE, OR 97424
(541) 942-3939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5137
OR
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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